A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

Trisomy 21

Fragile X

Turners Syndrome

Williams Syndrome

Answer and Explanation

The Correct Answer is B

A.   Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B.   Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C.   Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D.   Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.

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Correct Answer is C

Explanation

A. While taking the child to the provider’s office may be necessary, contacting poison control is the most
immediate and appropriate action when a child ingests a toxic substance.
B. Syrup of ipecac is no longer recommended for use in poisoning cases due to potential complications and ineffectiveness.
C. Poison control should be contacted immediately as they can provide specific instructions on how to manage the situation based on the substance ingested.
D. A high carbohydrate meal is not an appropriate intervention in the case of poisoning, and it may delay treatment or worsen symptoms.

A. "We will give our child pancreatic enzymes with snacks and meals." B. "We will restrict the amount of salt in our child's food." C. "I will limit my child's fluid intake." D. "I will prepare low-fat meals with limited protein for my child."

Correct Answer is A

Explanation

A. Pancreatic enzymes are essential for children with CF to help digest food properly, especially with each meal or snack.
B. Children with CF often have higher salt needs due to excessive salt loss in sweat, so restricting salt is not appropriate.
C. Fluid intake should generally be encouraged to prevent dehydration and help thin secretions.
D. High-calorie, high-protein meals are typically recommended for children with CF to support growth and nutritional needs.

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A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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